| NPI | 1477500486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036071149) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036071149) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2009-08-24 |