NPI | 1801066964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0055757) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.121058) |
207T00000X Neurological Surgery (Licence: CA 107826) | |
207T00000X Neurological Surgery (Licence: ID M-12453) | |
Enumeration Date | 2008-03-05 |
Last Update Date | 2021-03-11 |