| NPI | 1154681542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.143953) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2018017237) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2021-12-15 |