| NPI | 1467405233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS14853) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 4163) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2019-09-11 |