NPI | 1558628412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL 135974) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.122080) |
207T00000X Neurological Surgery (Licence: VA 0101267141) | |
Enumeration Date | 2012-04-17 |
Last Update Date | 2024-08-12 |