NPI | 1932196128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 218030) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NH 12042) |
Enumeration Date | 2005-10-03 |
Last Update Date | 2020-03-04 |