| NPI | 1013238419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0056991) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125055764) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2022-09-19 |