| NPI | 1245484385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35120723) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A5611) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2021-01-21 |