NPI | 1215433206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 65896) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 29184) |
Enumeration Date | 2018-03-30 |
Last Update Date | 2020-08-25 |