NPI | 1871819268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R3073) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NH 18957) |
Enumeration Date | 2010-04-11 |
Last Update Date | 2018-06-13 |