NPI | 1124014808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 32368) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NH 4652) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2017-03-06 |