NPI | 1891759528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M0965) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: TX M0965) |
207T00000X Neurological Surgery (Licence: TX M0965) | |
Enumeration Date | 2006-04-12 |
Last Update Date | 2025-02-05 |