| NPI | 1497098115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX S7642) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA ML60367989) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2020-09-05 |