NPI | 1609161637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX BP10040651) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: RI MD16116) |
207T00000X Neurological Surgery (Licence: TX R9467) | |
Enumeration Date | 2011-06-17 |
Last Update Date | 2020-03-09 |