| NPI | 1225282163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX N9972) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 36115382) |
| 207T00000X Neurological Surgery (Licence: CA A111481) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2017-12-14 |