| NPI | 1861419392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME0039194) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME39194) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-12-07 |