| NPI | 1447264122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 0420675) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX U4976) |
| 207T00000X Neurological Surgery (Licence: OH 35C.000191) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-07-08 |