| NPI | 1457300840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0057976) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME66562) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-07-21 |