| NPI | 1194140483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2015013498) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 0438007) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2022-01-31 |