| NPI | 1477751352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036114874) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A99254) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-02-13 |