| NPI | 1285861153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 35434) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ R71385) |
| 207T00000X Neurological Surgery (Licence: UT 9717710-1205) | |
| 207T00000X Neurological Surgery (Licence: VA 0101262853) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2022-10-27 |