| NPI | 1871652743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036046381) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01033915A) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2007-07-08 |