| NPI | 1598713158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036133588) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 1568) |
| 208600000X Surgery (Licence: IL 036133588) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-08-09 |