| NPI | 1720460025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 009490) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125067801) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2023-09-12 |