| NPI | 1710018551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A103450) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036133404) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2019-03-05 |