| NPI | 1134183205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 112503) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036159037) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-05-18 |