| NPI | 1871080325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 45638) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP10064209) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-12-24 |