| NPI | 1477661809 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR md26287) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036091589) |
| 207T00000X Neurological Surgery (Licence: AZ lt1654) | |
| 207T00000X Neurological Surgery (Licence: WY 7604A) | |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2007-07-08 |