| NPI | 1174059422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0073334) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.070132) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2024-06-29 |