NPI | 1770673766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 789) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX N1600) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2025-04-03 |