NPI | 1558399238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD062496L) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036138105) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2022-12-20 |