| NPI | 1588045967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35144931) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD221999) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-10-11 |