| NPI | 1003038043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX N2478) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036116403) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-07-29 |