| NPI | 1679759625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 4688) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125044964) |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2011-05-17 |