NPI | 1457354383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SD 2820) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA 25079) |
207T00000X Neurological Surgery (Licence: NE 18422) | |
Enumeration Date | 2005-05-24 |
Last Update Date | 2014-01-14 |