| NPI | 1174568141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036048069) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036048069) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-09 |