| NPI | 1871720201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 3421-320) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT195822) |
| 207T00000X Neurological Surgery (Licence: MN 60923) | |
| 207T00000X Neurological Surgery (Licence: KS 04-44082) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2024-01-02 |