| NPI | 1346367190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-114948) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D71456) |
| 207T00000X Neurological Surgery (Licence: IA 38274) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-10-08 |