NPI | 1447784772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD484623) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA12177100) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2024-07-01 |