| NPI | 1437805009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ R81448) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 32243) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2025-07-09 |