| NPI | 1669891180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MA10428800) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NE 28444) |
| 207T00000X Neurological Surgery (Licence: IL 036133982) | |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2024-02-22 |