NPI | 1356627350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E11851) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD455714) |
Enumeration Date | 2011-10-23 |
Last Update Date | 2019-07-01 |