| NPI | 1003298001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036.160324) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.067202) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2025-09-19 |