| NPI | 1720251887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2016-00175) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036126979) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2020-11-02 |