| NPI | 1922702232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 77596) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 33486) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-08-13 |