| NPI | 1275578205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0053414) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD461944) |
| 207T00000X Neurological Surgery (Licence: OH 35.129585) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2026-07-28 |