| NPI | 1912078759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-098187) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: HI 10794) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-06-26 |