NPI | 1073595989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 321010) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA 056219) |
207T00000X Neurological Surgery (Licence: MS 10954) | |
207T00000X Neurological Surgery (Licence: TX V5959) | |
207T00000X Neurological Surgery (Licence: CA C199733) | |
207T00000X Neurological Surgery (Licence: AL MD.50154) | |
208D00000X General Practice (Licence: TX V5959) | |
Enumeration Date | 2005-11-16 |
Last Update Date | 2025-06-25 |