| NPI | 1356328728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036.062224) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-03-06 |