NPI | 1982663340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD.07590R) |
Additional Taxonomies | 174400000X Specialist (Licence: LA L07590R) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2013-04-05 |