NPI | 1316203995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036152634) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 82120) |
Enumeration Date | 2012-04-08 |
Last Update Date | 2020-09-24 |