| NPI | 1376586776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS20894) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2006012799) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-08-16 |