| NPI | 1295748218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101260637) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-113004) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-12-20 |