| NPI | 1922243682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL DO1190) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125050490) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2011-08-08 |