NPI | 1124123880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 51404) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME105354) |
207T00000X Neurological Surgery (Licence: CA G68540) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-02-25 |