| NPI | 1639585920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NE 2585) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.066039) |
| 207T00000X Neurological Surgery (Licence: FL OS17814) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-08-30 |