| NPI | 1083785075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-125876) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 02714) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-01-31 |