| NPI | 1568667806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 125-048814) |
| Additional Taxonomies | 2085N0700X (Licence: IL 125-048814) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2011-07-13 |