| NPI | 1366623548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME DO2732) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036131230) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2019-03-11 |