| NPI | 1780847673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 14780) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125050002) |
| 207T00000X Neurological Surgery (Licence: IL 036.128451) | |
| 207T00000X Neurological Surgery (Licence: TN MD48629) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2013-10-14 |