| NPI | 1982643359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036109252) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 010564204A) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-10-31 |