| NPI | 1043872492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD200041) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.148255) |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2020-09-30 |