| NPI | 1740244813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2003007025) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036159448) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-07-13 |