| NPI | 1982912655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036121940) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 20A11564) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2018-09-04 |