NPI | 1407506637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 74677) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 32568) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2023-07-13 |