| NPI | 1851374383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-147175) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036147175) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NC 200401335) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-07-08 |