| NPI | 1467616193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036139135) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 249395) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2021-04-07 |