NPI | 1881031144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036150510) |
Additional Taxonomies | 208600000X Surgery (Licence: TX BP10045821) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2020-10-21 |