| NPI | 1316195159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 56692) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036113684) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2021-04-29 |