| NPI | 1346400090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 34229) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 237075) |
| 207T00000X Neurological Surgery (Licence: AR E-6083) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-05-02 |