| NPI | 1932303526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 54789) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 04-46861) |
| 207T00000X Neurological Surgery (Licence: TX M2890) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-11-08 |