| NPI | 1629060660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 24168) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: ND 22474) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2026-05-26 |