| NPI | 1235392945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DE C1-0011318) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD444569) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2016-02-11 |