| NPI | 1518348036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A188049) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125066667) |
| 207X00000X Orthopaedic Surgery (Licence: NY 315032) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2024-02-28 |