NPI | 1770878993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D87302) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101283516) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2024-08-15 |