NPI | 1174502629 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G65556) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G65556) |
Enumeration Date | 2006-01-12 |
Last Update Date | 2010-07-16 |