| NPI | 1528379641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 272333) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125058573) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2017-12-14 |