| NPI | 1689011777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 7572) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2019006477) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2023-06-13 |