NPI | 1184636425 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G078326) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G078326) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2019-05-22 |