NPI | 1578731212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD.200761) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: LA MD.200761) |
Enumeration Date | 2008-02-15 |
Last Update Date | 2013-01-02 |