NPI | 1760699920 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WV 29884) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA12262100) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2024-06-13 |