| NPI | 1952397671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0060919) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 38302020) |
| 207T00000X Neurological Surgery (Licence: IL 036106748) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2015-04-16 |