| NPI | 1437487709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME127817) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 57.016115) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2018-01-16 |