| NPI | 1841638293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD214300) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.063148) |
| 207T00000X Neurological Surgery (Licence: CA A166651) | |
| 207T00000X Neurological Surgery (Licence: IL 125063148) | |
| 207T00000X Neurological Surgery (Licence: CO DR.0066618) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2026-04-28 |