| NPI | 1093044216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS12088) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125053281) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2023-05-31 |