NPI | 1013039767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G10804) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MT 8477) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2022-06-20 |