| NPI | 1659589240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 56088) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: ND 12131) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-10-21 |