| NPI | 1295709764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036156569) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 61585) |
| 174400000X Specialist (Licence: PA MD063726L) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2026-04-30 |