| NPI | 1184985327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-43022) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2019017920) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2025-10-28 |