| NPI | 1467660274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101254011) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 27856) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-12-14 |