| NPI | 1598517492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 80285) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 34375) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2025-09-17 |