NPI | 1760518807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D77078) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 261037) |
Enumeration Date | 2007-02-25 |
Last Update Date | 2015-11-09 |