NPI | 1467626184 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036133774) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036133774) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2021-04-26 |