| NPI | 1295954386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 43020) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 095567) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-10-26 |