NPI | 1568606747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101260948) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 073884) |
Enumeration Date | 2009-05-01 |
Last Update Date | 2022-08-08 |