| NPI | 1821042680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036127289) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 26667) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-05-19 |