NPI | 1073595989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MS 10954) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA 056219) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2024-05-22 |