| NPI | 1356391387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036134440) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX j2368) |
| 207T00000X Neurological Surgery (Licence: OK 29001) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-03-10 |