| NPI | 1578890877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-069036) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 336.033031) |
| 208U00000X Clinical Pharmacology (Licence: IL 336.033031) | |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2012-08-01 |