| NPI | 1225529191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 94-09483) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 73677) |
| 207T00000X Neurological Surgery (Licence: MS 34938) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2025-04-11 |