| NPI | 1972588416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 023643) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 023643) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2023-02-09 |