| NPI | 1356597025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A109218) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.121196) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2022-02-11 |