| NPI | 1689830192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301106211) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 125051383) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-04-06 |