| NPI | 1780726505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036.134030) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 24486) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-03-16 |