| NPI | 1932373255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 43547) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036123127) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2021-01-19 |