| NPI | 1518498716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A193049) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036151721) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-09-24 |