| NPI | 1740253707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: IL 036.144660) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01038293A) |
| 208600000X Surgery (Licence: IL 036144660) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2021-08-03 |