| NPI | 1447223607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2003001212) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036083628) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-05-20 |