| NPI | 1427412444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID 3661271) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT FS7172682) |
| 207T00000X Neurological Surgery (Licence: IL 036164308) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-04-09 |