| NPI | 1225140312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AK 141981) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A87647) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-30 |