| NPI | 1295140820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 43155) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2021039566) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-10-02 |