| NPI | 1255473054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 24481) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 04-46767) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-03-31 |