| NPI | 1194706754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SD 3404) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SD 340) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-04-14 |