NPI | 1962487520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 032506) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CT 032506) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2008-04-24 |