| NPI | 1285661835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 106552) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 04-29963) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-02-01 |