| NPI | 1629248380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A131921) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 207ToooooX) |
| Enumeration Date | 2008-03-08 |
| Last Update Date | 2024-08-20 |