NPI | 1295857555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX Q5623) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2004016472) |
207T00000X Neurological Surgery (Licence: FL ME112535) | |
Enumeration Date | 2007-04-05 |
Last Update Date | 2020-01-30 |