| NPI | 1336118116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-32129) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 77172) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2009-05-13 |