NPI | 1225479520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 67097) |
Additional Taxonomies | 174400000X Specialist (Licence: 4301102913) |
207T00000X Neurological Surgery (Licence: NC 202101178) | |
Enumeration Date | 2013-07-15 |
Last Update Date | 2024-05-01 |