| NPI | 1992762215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 9647) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 36918) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2015-07-20 |