| NPI | 1225140338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-32595) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2007022059) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-06-14 |