NPI | 1346203627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 304472) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 18447) |
Enumeration Date | 2006-04-08 |
Last Update Date | 2022-07-21 |