NPI | 1982812723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 203951) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 27335) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2015-05-20 |