| 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 | 2025-08-07 |