| NPI | 1245670504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2013020671) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036158187) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2023-10-10 |