| NPI | 1265651566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M-13330) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 57009091) |
| 207T00000X Neurological Surgery (Licence: KY 43915) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-11-28 |