| NPI | 1295925022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 62643-20) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 50964) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2021-08-30 |