| NPI | 1346421245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO 49595) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036119297) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2015-01-23 |