| 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 |