| NPI | 1508823824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 10758) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 6275069-1205) |
| 207T00000X Neurological Surgery (Licence: AZ 35574) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-09-21 |