| NPI | 1316165475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-130002) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME116821) |
| 207T00000X Neurological Surgery (Licence: NC 2016-00369) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-07-15 |