| NPI | 1306863949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 43329) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: ND 9294) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-11-11 |