NPI | 1548607575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 87916) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125062934) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2021-07-30 |