| NPI | 1427001171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 45496) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 61864) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MN 45496) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-01-29 |