| NPI | 1285736637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-113099) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036113099) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2012-01-03 |