NPI | 1033310909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036117911) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IN 01095972A) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2025-08-18 |