NPI | 1831416049 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R7016) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 58573) |
Enumeration Date | 2010-04-27 |
Last Update Date | 2024-04-03 |