| NPI | 1316975832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0036246) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO 36243) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-03-07 |