| NPI | 1841262086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036068405) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: IL 036068405) |
| 208600000X Surgery (Licence: IN 01062551A) | |
| 208D00000X General Practice (Licence: IL 036068405) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-10-04 |