| NPI | 1164885000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301511448) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125069488) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-07-03 |