| NPI | 1285166041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.153688) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0100320) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2026-04-23 |