| NPI | 1598728826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 05-30889) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E4270) |
| 207T00000X Neurological Surgery (Licence: OH 34.008915) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2014-08-18 |