| NPI | 1194987289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 57276) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NE 5933) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-12-24 |