NPI | 1053375758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 5101017055) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 34.006663) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2015-09-24 |