NPI | 1487629762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IA 38061) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35-08-5970-B) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2012-07-19 |