| NPI | 1326093410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R6846) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 24838) |
| 207T00000X Neurological Surgery (Licence: AL 37505) | |
| 207T00000X Neurological Surgery (Licence: KS 04-32207) | |
| 207T00000X Neurological Surgery (Licence: FL ME141772) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2021-04-13 |