| NPI | 1386008894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 100978) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 62596) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-08-07 |