| NPI | 1255786505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.150999) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D97385) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2024-06-25 |