| NPI | 1568661361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME108371) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO CDR.0006856) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2026-07-30 |