| NPI | 1184619900 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036083936) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01049436A) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2024-09-13 |