| NPI | 1659381531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2013029759) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036075293) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-09-06 |