| NPI | 1225001068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036072694) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036072694) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2016-12-12 |