NPI | 1831480888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036143930) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036143930) |
Enumeration Date | 2011-04-26 |
Last Update Date | 2021-01-02 |