| NPI | 1407875016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 12906) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 04-48215) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-10-25 |