| NPI | 1891135471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036.157354) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301103684) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-07-08 |