| NPI | 1992980973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 30689) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.087442) |
| 207T00000X Neurological Surgery (Licence: SC TL30689) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2021-05-11 |