| NPI | 1629249818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0053656) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME92314) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2026-04-13 |