| NPI | 1891037370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036.160614) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 28349) |
| 207T00000X Neurological Surgery (Licence: IL 125.063619) | |
| 207T00000X Neurological Surgery (Licence: TN 60618) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2022-07-14 |