| NPI | 1609073246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 321966) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DE C1-0009766) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-03-22 |