| NPI | 1972044261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.150613) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125069868) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-06-20 |