| NPI | 1669408662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD433212) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036131135) |
| 174400000X Specialist (Licence: VA 0101028995) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-10-02 |