| NPI | 1528049871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01071798A) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036096459) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2014-06-19 |