| NPI | 1942257944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MN 53874) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 53874) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-07-05 |