| NPI | 1295185056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 81336) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.068607) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-06-29 |