| NPI | 1346357795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036068765) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01058798A) |
| 208C00000X Colon & Rectal Surgery (Licence: IL 036068765) | |
| 208C00000X Colon & Rectal Surgery (Licence: IN 01058798A) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-04-14 |