| NPI | 1548607575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 87916) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125062934) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2021-07-30 |