NPI | 1942429394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SD 8072) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NE 30068) |
207T00000X Neurological Surgery (Licence: IA MD-43307) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2022-07-21 |