NPI | 1154423762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DC MD038939) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA ML20007453) |
Enumeration Date | 2006-09-03 |
Last Update Date | 2020-08-11 |