| NPI | 1457512162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.126062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35126062) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-10-13 |