NPI | 1376953729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.145644) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME125460) |
207X00000X Orthopaedic Surgery (Licence: NY 307553) | |
Enumeration Date | 2014-05-06 |
Last Update Date | 2022-08-24 |