| NPI | 1992951370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IA 40815) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125052152) |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2013-04-26 |