| NPI | 1922091339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 9700588) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35 082797) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2021-05-11 |