| NPI | 1174585640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 22694) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 22694) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2024-05-09 |