| NPI | 1093248544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.154203) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2024022316) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-08-25 |