NPI | 1548201346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA MD60030878) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0059026) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2023-08-09 |