NPI | 1619362670 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 75185) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0067324) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2023-09-01 |