| NPI | 1508247370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 1508247370) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.067578) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2024-04-02 |