NPI | 1740969831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL 38409) |
Additional Taxonomies | 174400000X Specialist (Licence: FL 38409) |
261QM2500X Clinic/Center, Medical Specialty (Licence: FL 38409) | |
Enumeration Date | 2023-07-14 |
Last Update Date | 2023-07-14 |