NPI | 1891731949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 35163) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35-120570) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2019-10-12 |