NPI | 1083141899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX T2156) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL UO5370) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-06-22 |