| NPI | 1699732917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 10801) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 29906) |
| 207T00000X Neurological Surgery (Licence: CA A65008) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2021-06-18 |