| NPI | 1265469571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.042514) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 24176) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2017-08-07 |