NPI | 1215457809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX V2717) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2017020107) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2025-08-27 |