| NPI | 1750587838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA DO.000318) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 94-06814) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2013-06-14 |