| NPI | 1972710101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036139950) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101254069) |
| 207T00000X Neurological Surgery (Licence: AZ 45687) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-04-22 |