| NPI | 1578520532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 7897) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 22506) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-08-02 |