| NPI | 1346220407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 24339) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 43335) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-08-18 |