| NPI | 1386910578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AK 1413472) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA ml 60286825) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2021-05-06 |