| NPI | 1932155587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 63844) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 227305) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-11 |