| NPI | 1285895045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A151118) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH N/A) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2017-09-25 |