| NPI | 1275735250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036140034) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 58.001299) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-01-06 |