| NPI | 1619298940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036139253) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT197334) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2023-03-30 |