| NPI | 1578722336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036138955) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036138955) |
| 2086X0206X Surgery, Surgical Oncology (Licence: IN 01069731A) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2017-05-11 |