| NPI | 1679998587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 22338) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036153250) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2023-06-26 |