| NPI | 1275742983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036130231) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301083343) |
| 207T00000X Neurological Surgery (Licence: ND LT12469) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-05-20 |