| NPI | 1366716466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036128821) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: ZZ 17-719) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2018-04-12 |