| NPI | 1679503825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OR MD154182) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036111324) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-02-04 |