| NPI | 1396181434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 86319) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 94-08118) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2020-08-27 |