NPI | 1043716913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID 6471162) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD225480) |
Enumeration Date | 2018-04-01 |
Last Update Date | 2025-08-06 |