| NPI | 1083779532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX N6387) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036-074551) |
| 208600000X Surgery (Licence: TX N6387) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2025-07-03 |