NPI | 1043573959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101273706) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A160670) |
207T00000X Neurological Surgery (Licence: PA MT202574) | |
Enumeration Date | 2012-06-18 |
Last Update Date | 2023-12-22 |