NPI | 1114424116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A201957) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4351036201) |
Enumeration Date | 2018-04-07 |
Last Update Date | 2025-07-24 |