| 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 |