| NPI | 1538146287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 55322) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 46722) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2024-03-11 |