| NPI | 1275762429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D72508) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.121453) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2014-11-21 |