| NPI | 1518916816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME166488) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-093952) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2024-03-25 |