NPI | 1154772044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-47784) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2023024951) |
Enumeration Date | 2016-06-22 |
Last Update Date | 2023-08-04 |