| NPI | 1215062518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS15385) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2008016208) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-04-12 |