| NPI | 1033174651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: SC 40134) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036121086) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2016-10-12 |