NPI | 1205037520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: IL 113000050) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 113000050) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2024-01-25 |