| NPI | 1225021702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 21270) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX M2119) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2022-02-02 |