NPI | 1972695195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL me143472) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A44736) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-02-28 |