| NPI | 1306174008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-139001) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 269919) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2015-09-09 |