| NPI | 1235363888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 55731) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A117635) |
| 207T00000X Neurological Surgery (Licence: OH 35.129323) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2020-09-08 |