| NPI | 1780747386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 36043550) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01041921A) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |