NPI | 1508220542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A187161) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME166591) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2024-07-19 |