| NPI | 1265695258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036122778) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL AN5240394-7881) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-10-01 |