NPI | 1528382173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0099061) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD464637) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2024-04-18 |