NPI | 1083811418 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036133570) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 45793) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2021-04-26 |