NPI | 1528446465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 295325) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: RI MD18330) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2024-11-08 |