NPI | 1801930573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 273807) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0070049) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2014-06-19 |