| NPI | 1871534644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0052963) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN MD00000239247) |
| 207T00000X Neurological Surgery (Licence: IL 036-087965) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-03-07 |