| NPI | 1083897086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 3367) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.123122) |
| 207T00000X Neurological Surgery (Licence: CA 20A9091) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2020-04-21 |