| NPI | 1992968606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 54899) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.093675) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-05-04 |