| NPI | 1407201767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL 36634) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 94-08866) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2024-03-04 |