| NPI | 1871766022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 59668) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0074143) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2020-08-12 |