NPI | 1275758039 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 59933) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 57002649) |
207T00000X Neurological Surgery (Licence: CO DR-46397) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2022-12-13 |