| NPI | 1558344507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 037676) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 037676) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2021-08-27 |