| NPI | 1710056080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 54678) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101250836) |
| 207T00000X Neurological Surgery (Licence: OR MD26843) | |
| 207T00000X Neurological Surgery (Licence: OR LL15652) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2025-04-09 |