| NPI | 1437344132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 263211) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 57.013060) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2015-07-22 |