NPI | 1447678172 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 81849) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A179465) |
2085N0700X Radiology, Neuroradiology (Licence: OR MD205373) | |
Enumeration Date | 2014-03-31 |
Last Update Date | 2023-10-18 |