| NPI | 1336100460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME115953) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 13310) |
| 207T00000X Neurological Surgery (Licence: NH 21094) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2023-10-18 |