NPI | 1073585477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 44123) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 91820) |
207T00000X Neurological Surgery (Licence: LA 202784) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2009-09-01 |