| NPI | 1346412731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 57.011982) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 283235) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2023-06-29 |