| NPI | 1528296076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME109862) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0096420) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2026-06-18 |