NPI | 1407389372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 76556) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 13344916-1205) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2024-10-21 |