| NPI | 1437405479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.098772) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-8215) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2021-11-04 |