| NPI | 1588871388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036123998) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA R-6882) |
| 207T00000X Neurological Surgery (Licence: IL 0361123998) | |
| 207T00000X Neurological Surgery (Licence: IA 37924) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-01-10 |