NPI | 1164751947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101261106) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 57.017008) |
207T00000X Neurological Surgery (Licence: OH 35.098448) | |
207T00000X Neurological Surgery (Licence: FL ME153822) | |
Enumeration Date | 2009-12-08 |
Last Update Date | 2022-01-31 |