| NPI | 1215294947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 303311) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DE C2-0023942) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2022-11-04 |