| NPI | 1780609131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 34.008523) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.008523) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-02-14 |