NPI | 1134180177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME80755) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G86294) |
207T00000X Neurological Surgery (Licence: MI 4301062484) | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2012-12-18 |