NPI | 1548243009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35-075494) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 43113) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2023-04-12 |