| NPI | 1427049808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 50447) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.080051) |
| 207T00000X Neurological Surgery (Licence: MN 70549) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-09-01 |