| NPI | 1457324824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX S8685) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036 083278) |
| 208600000X Surgery (Licence: TX S8685) | |
| 208600000X Surgery (Licence: IL 036083278) | |
| 208C00000X Colon & Rectal Surgery (Licence: IL 036083278) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-08-30 |