NPI | 1669472577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX L7561) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX L7561) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2023-06-26 |