| NPI | 1205902442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME154265) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036117618) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-07-06 |