| NPI | 1437104577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME53374) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME53374) |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME53374) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-03-06 |