NPI | 1629175989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 29737) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301086873) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-07-23 |