NPI | 1245228220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DE C10009277) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD071313L) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2011-10-11 |