NPI | 1053508242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD440154) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 232845) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2020-04-27 |