| NPI | 1417000142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036109813) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WI 50859) |
| 2086X0206X Surgery, Surgical Oncology (Licence: PA MD430118) | |
| 208600000X Surgery (Licence: WI 50859) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-03-05 |