| NPI | 1760689764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036125380) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL AS3581875-480) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2026-02-11 |