NPI | 1912214503 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A133575) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301096858) |
Enumeration Date | 2010-09-03 |
Last Update Date | 2023-03-27 |