| NPI | 1538470109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX S7966) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2015031875) |
| 207T00000X Neurological Surgery (Licence: IL 036160860) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-12-04 |