NPI | 1609282656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A193533) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2014016518) |
207T00000X Neurological Surgery (Licence: NV 21168) | |
Enumeration Date | 2014-07-09 |
Last Update Date | 2024-02-07 |