| NPI | 1083908099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036.144713) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA L-247864) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2018-08-23 |