| NPI | 1851541338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX Q4978) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125047092) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2015-08-17 |