NPI | 1750624045 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036.145493) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036.145493) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2019-09-11 |