| NPI | 1285890046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 38736) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125052889) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2018-03-16 |