NPI | 1366897530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD482652) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA11983200) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2024-09-24 |