NPI | 1952768384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME172227) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-17095) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2025-04-24 |