| NPI | 1346280203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: AZ 42746) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: IL 036103187) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-11-09 |