| NPI | 1477965846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0066111) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 94-08292) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2021-09-22 |