NPI | 1851779052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA 135974) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036166547) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2023-09-29 |