| NPI | 1881348431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX T1905) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036165904) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2023-12-15 |