| NPI | 1497933626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-32875) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2008002393) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2026-09-02 |