| NPI | 1609267905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MA12566600) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125069015) |
| 207T00000X Neurological Surgery (Licence: IL 036149763) | |
| 207T00000X Neurological Surgery (Licence: IN 01092145A) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2025-05-05 |