| NPI | 1740322544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.154829) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036147243) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-10-29 |