NPI | 1285802801 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 85703) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 002213) |
207T00000X Neurological Surgery (Licence: TX P9918) | |
Enumeration Date | 2008-02-17 |
Last Update Date | 2020-12-04 |