| NPI | 1164525275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036047859) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036047859) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2015-10-09 |