| NPI | 1093731978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D80881) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35-066882) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-04-07 |