| NPI | 1184620304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 36990) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036095071) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2025-10-01 |