| NPI | 1982968525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0074353) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO FH8422711) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2025-04-01 |