| NPI | 1043275654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301071262) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036079630) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-02-24 |