NPI | 1811157613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2012-00452) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 224857) |
Enumeration Date | 2008-06-15 |
Last Update Date | 2025-07-15 |