NPI | 1225024128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 57712) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NH 7608) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2020-03-04 |