| NPI | 1285697003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IA 21720) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036061193) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |