| NPI | 1538540679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036157198) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS020766) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-03-20 |