| NPI | 1730368499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 32405) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036119356) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2020-11-11 |