| NPI | 1497196455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125063645) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036141184) |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2018-11-16 |