| NPI | 1720493000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.141070) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.065145) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-06-15 |