NPI | 1699034371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101268498) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD60891443) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2023-02-02 |