| NPI | 1336222900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME89860) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036177773) |
| 207T00000X Neurological Surgery (Licence: NC 2015-01713) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2026-02-08 |