| NPI | 1427186774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01088364A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-116067) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-08-16 |