| NPI | 1528046141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 36118588) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2005016227) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2025-03-05 |