| NPI | 1790908168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME120232) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 336081804) |
| 207T00000X Neurological Surgery (Licence: MA 227516) | |
| 207T00000X Neurological Surgery (Licence: IL 036120451) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2025-08-21 |