| NPI | 1487851838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR-0053836) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101253940) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-01-15 |