| NPI | 1306051479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35125874) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME99084) |
| 207T00000X Neurological Surgery (Licence: OH 35.125874) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-01-21 |