| NPI | 1104387166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 125075797) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 280520) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2020-06-01 |