NPI | 1669469227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WY 9823A) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101238532) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2019-12-12 |