NPI | 1922268408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A32050) |
Additional Taxonomies | 251E00000X Home Health (Licence: CA A32050) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2014-05-28 |