NPI | 1093919946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A121207) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A121207) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2021-09-28 |