| NPI | 1215248125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301109045) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125058788) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2018-03-17 |