| NPI | 1023542297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036.179120) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036179120) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2026-10-01 |