| NPI | 1427164722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-052071) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036-052071) |
| 208D00000X General Practice (Licence: IL 036-052071) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-10-13 |