| NPI | 1932198280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 17070) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 17070) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2025-02-20 |