NPI | 1760478663 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 27515) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NH 4657) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2007-07-09 |