| NPI | 1447438650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.125343) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD61176487) |
| 207T00000X Neurological Surgery (Licence: MN 50274) | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2021-11-11 |