| NPI | 1760687503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NE 24580) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-115196) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2013-02-18 |