| NPI | 1295056802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A149102) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125-057747) |
| 207T00000X Neurological Surgery (Licence: NY 283115) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-07-21 |