NPI | 1083726798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 258352) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD453180) |
207T00000X Neurological Surgery (Licence: OR MD24962) | |
207T00000X Neurological Surgery (Licence: CA C178389) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-03-02 |