| NPI | 1346733888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 47788) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC RTL19-0693) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2026-07-31 |