| NPI | 1467746362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A123641) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036153092) |
| 208600000X Surgery (Licence: AZ 51310) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-07-02 |