| NPI | 1700235280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E-18933) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.068677) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2025-07-23 |