NPI | 1528379641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 272333) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125058573) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2017-12-14 |