| NPI | 1134152697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036177641) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX 41393) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2026-03-10 |