NPI | 1326481052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA ML.60367968) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY TP997) |
Enumeration Date | 2013-04-11 |
Last Update Date | 2021-04-27 |