NPI | 1730279621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 66853) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD00033972) |
207T00000X Neurological Surgery (Licence: MI 4301115254) | |
207T00000X Neurological Surgery (Licence: CA G175077) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2024-08-14 |