| NPI | 1275612178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036066061) |
| Additional Taxonomies | 2085R0001X (Licence: IL 036066061) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-03-17 |