NPI | 1376579383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL MD.32612) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD23327) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2023-01-06 |