| NPI | 1174581409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WV 22931) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101036507) |
| 207T00000X Neurological Surgery (Licence: FL ME54341) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-11-17 |