| NPI | 1013273580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036156623) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2019024514) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-01-22 |