| NPI | 1396594826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036173213) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME169944) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2026-05-20 |