| NPI | 1497749162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0066919) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036109065) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2022-01-14 |