| NPI | 1316203995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2023-03193) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036152634) |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2024-06-11 |