| NPI | 1245631100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS19762) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KS 05-37558) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2023-04-25 |