| NPI | 1891182762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 67348) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 5729) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2023-01-20 |