NPI | 1386797868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 223585) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 223585) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2022-11-08 |