| NPI | 1346629722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-47776) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 9408544) |
| 207T00000X Neurological Surgery (Licence: IL 036.160088) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2023-06-14 |