| NPI | 1861846065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.147692) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 39) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-01-19 |