| NPI | 1447220264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-3685) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 43178) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2019-06-13 |