| NPI | 1467607671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DC MD041038) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.096481) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2019-10-11 |