| NPI | 1699064329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 32399) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0062528) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2023-01-09 |