| NPI | 1487817946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 0436378) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY R1659) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2020-03-10 |