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 |