| NPI | 1306171608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 36195) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125053302) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2021-04-30 |