| NPI | 1508397217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036170742) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A160003) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-07-01 |