| NPI | 1861768566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036.152429) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301117258) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-09-24 |