| NPI | 1346036332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 83178) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 35076) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2026-07-23 |