| NPI | 1184734030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 49526) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 50316) |
| 207T00000X Neurological Surgery (Licence: KS 04-50374) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-12-18 |