| NPI | 1871545186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-32855) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NM 99-331) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-04-02 |