| NPI | 1780644401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 39807) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101254590) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2023-03-27 |