NPI | 1740260223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101244967) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2001012068) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2009-07-23 |