| NPI | 1225022759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-097984-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-097984) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2011-09-29 |