| NPI | 1902988249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 10718) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 33252) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-03-14 |