| NPI | 1144489642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD458773) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125053769) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2023-11-07 |