| NPI | 1386927192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2018009352) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125060667) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2022-01-11 |