| NPI | 1932465689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 12900579-1205) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036148825) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2024-12-11 |