| NPI | 1346506409 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 3100) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036140434) |
| 207T00000X Neurological Surgery (Licence: PA FC8081642) | |
| 207T00000X Neurological Surgery (Licence: PA OS020618) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2025-01-08 |