| NPI | 1639160500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 11378) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 11378) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2023-06-08 |