NPI | 1801167895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 292928) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.139458) |
Enumeration Date | 2012-01-23 |
Last Update Date | 2018-06-07 |