| NPI | 1437104551 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 50045)  | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036107678)  | 
| Enumeration Date | 2006-05-24 | 
| Last Update Date | 2020-08-18 |