| NPI | 1447469176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301087953) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35134956) |
| 207T00000X Neurological Surgery (Licence: CA A121722) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-04-15 |