| NPI | 1477781177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036148189) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2009017790) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2023-05-15 |