| NPI | 1427032002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD035800E) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: ID MC-1782) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2023-02-02 |