| NPI | 1386608016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME000654480) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL me65480) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-12-07 |