| NPI | 1033606082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35151293) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A167090) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-07-02 |