| NPI | 1295096733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036161996) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.137483) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2023-11-09 |