NPI | 1902240484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101274303) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME149266) |
Enumeration Date | 2013-04-26 |
Last Update Date | 2024-05-24 |