| NPI | 1851559256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35120905) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A102167) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-03-16 |