| NPI | 1891034708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.121130) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.121130) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2026-07-16 |