| NPI | 1194135533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL MD.42797) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 42707) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2023-06-29 |