| NPI | 1669601233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 103856) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.098487) |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2025-08-27 |