| NPI | 1710550561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036169612) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 309061) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-08-15 |