| NPI | 1730155052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME90211) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX S5192) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-12-04 |