| NPI | 1245468255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 52965) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-8749) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2022-04-04 |