| NPI | 1497404834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 74680) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 32577) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2023-07-13 |