| NPI | 1629287677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 34010246) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL BB0454912(81)) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-09-25 |