| NPI | 1497105761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.158850) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351029876) |
| 208600000X Surgery (Licence: IN 01083637A) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2023-11-14 |