| NPI | 1144232182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2010-01394) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036091140) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-02-13 |