NPI | 1578042354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA SPI765) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 288372) |
207T00000X Neurological Surgery (Licence: OH 57.245250) | |
Enumeration Date | 2018-08-12 |
Last Update Date | 2024-04-26 |