| NPI | 1508824525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301099586) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036175459) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2025-08-12 |