NPI | 1134183205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 112503) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036159037) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2022-05-18 |