NPI | 1164819736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX 48528) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX 48146) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2024-11-22 |