| NPI | 1891144044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 69109) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 008350) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2023-10-03 |