| NPI | 1104093202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036116051) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01068746A) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-06-29 |