| NPI | 1245205210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036097583) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01056796A) |
| 207T00000X Neurological Surgery (Licence: WI 74114-20) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-02-12 |