NPI | 1912352824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MB11127000) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA OS022769) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2024-07-10 |