| NPI | 1033143599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036144501) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 270148) |
| 207T00000X Neurological Surgery (Licence: SC 34528) | |
| 207T00000X Neurological Surgery (Licence: WI 1823) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-02-05 |