| NPI | 1831431261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036-153599) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 278947) |
| 208600000X Surgery (Licence: IL 036.153599) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2022-04-05 |