| NPI | 1659380343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 286504-1) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-051485) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-12-06 |