| NPI | 1952437097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 47157) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.145943) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2023-01-25 |