| NPI | 1487647517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-122576) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA 27034) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2009-02-26 |