NPI | 1083147300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 79646) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A193538) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2025-07-22 |