| NPI | 1437188596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME159756) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35083759) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2024-03-20 |