| NPI | 1710416805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD219316) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125070335) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-07-31 |