| NPI | 1144583287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036153198) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.061379) |
| 208600000X Surgery (Licence: IN 01080567A) | |
| 208C00000X Colon & Rectal Surgery (Licence: IN 01080567A) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2023-03-03 |