| NPI | 1689012940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-42910) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NE 32489) |
| 207T00000X Neurological Surgery (Licence: SD 12100) | |
| 207T00000X Neurological Surgery (Licence: TX S6753) | |
| 207T00000X Neurological Surgery (Licence: NE 6951) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2021-01-28 |