| NPI | 1174760607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A111306) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036174925) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2025-07-07 |