| NPI | 1508807181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036.130895) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35-058145 F) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-07-20 |