| NPI | 1841429586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A128308) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125052495) |
| 207T00000X Neurological Surgery (Licence: CO DR.0065158) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2022-09-01 |