NPI | 1588892533 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 274692) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301111352) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2018-08-09 |