| NPI | 1134613961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME181764) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125072922) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2026-06-03 |