NPI | 1629249818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0053656) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME92314) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2018-11-02 |