| NPI | 1043285984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 49914) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-102559) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-09-09 |