| NPI | 1457507527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 14791) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL K50014282195) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2021-10-11 |