NPI | 1629257365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 30185) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SD 8725) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2022-09-02 |