| NPI | 1730106204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME0026506) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME26506) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-07-21 |