NPI | 1841285756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX M8814) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME77582) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2017-06-27 |