NPI | 1790753622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD071222L) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 300246) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2019-10-16 |