| NPI | 1194215079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA OS024681) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD H93708) |
| 207T00000X Neurological Surgery (Licence: VA 0102209246) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2025-06-27 |