NPI | 1932104049 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS8838) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WV 2348) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2015-03-09 |