| NPI | 1336116052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 48863) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 6663120) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-12-31 |