| NPI | 1710143698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA MD.MD.61375625) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036123293) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2026-05-01 |