| NPI | 1831342492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-35512) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2012005892) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2012-11-27 |