| NPI | 1285898148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 34.012259) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 20A21025) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2025-08-21 |