| NPI | 1801951116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 53935) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME 86557) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-10-25 |