| NPI | 1356409312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A54615) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.117473) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2025-01-03 |