| NPI | 1184612160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD05106L) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036131182) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2017-05-02 |