| NPI | 1982725321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD437040) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036176434) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2025-09-16 |