NPI | 1356515738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101258551) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA 206838) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2015-07-22 |