| NPI | 1386829554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME0033820) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME003820) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2024-04-16 |