| NPI | 1114924735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: MD D0052627) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C1-0004534) |
| 2086X0206X Surgery Surgical Oncology (Licence: IL 036130584) | |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2023-04-04 |