| NPI | 1255354478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME 85796) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 24722) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-12-23 |