NPI | 1700863123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 171340) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD479837) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2024-07-20 |