| NPI | 1659328029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME95573) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME95573) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2016-06-08 |