NPI | 1063724664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036130751) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125058535) |
Enumeration Date | 2010-07-12 |
Last Update Date | 2021-12-28 |