| NPI | 1831336528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036141046) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-141046) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2025-04-23 |