| NPI | 1871507228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: ME MD21625) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 36117446) |
| 208600000X Surgery (Licence: CA A85584) | |
| 2086S0129X (Licence: CA A85584) | |
| 2086S0129X (Licence: IL 36117446) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-04-17 |