NPI | 1457874745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 77133) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA R10989) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2025-06-17 |