| NPI | 1033310552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 069731) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.097137) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-08-27 |