| NPI | 1417065038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 37869) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.082514) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-05-27 |