| NPI | 1386103687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036171545) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.074135) |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2026-05-15 |