NPI | 1154651867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2016-00515) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301119295) |
Enumeration Date | 2009-12-31 |
Last Update Date | 2023-11-03 |