| NPI | 1417148800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 40478) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036172887) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2025-03-07 |