NPI | 1205032034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PR 14227) |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: PR 14227) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2024-02-01 |