| NPI | 1306847702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: IL 036094742) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036094742) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-03-17 |