| NPI | 1770640856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME118822) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0067702) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-04-13 |