NPI | 1073893913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 55155) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME134842) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2020-09-10 |