NPI | 1932147659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 22076) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO R6H49) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2013-08-24 |