| NPI | 1396968889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036126063) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036126063) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-07-21 |