NPI | 1609138841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 5101020078) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 20A16498) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2024-04-28 |