| NPI | 1770500209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 119477) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036152559) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-06-01 |