| NPI | 1871706473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35129575) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A97961) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-01-09 |