NPI | 1801329602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0074785) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 227957) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2025-07-02 |