| NPI | 1407117328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 59654) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 59654) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2020-07-16 |