| NPI | 1851486559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036072799) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 04-24646) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-04-19 |