| NPI | 1861415069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036098055) |
| Additional Taxonomies | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: IL 036098055) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-12-04 |