NPI | 1134113889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25ma08681400) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD430407) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2022-07-21 |