| NPI | 1255449484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-053154) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036053154) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2016-04-15 |