| NPI | 1730414749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101262820) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036175961) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2025-08-06 |