NPI | 1760402614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C54726) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD427462) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2024-04-26 |