| NPI | 1467618025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA MD60170876) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.123343) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-12-18 |