| NPI | 1356394423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX M2775) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036134679) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-09-10 |