| NPI | 1881891281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35-095634) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 57.008064) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2011-01-26 |