| NPI | 1881702876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036123634) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G77062) |
| 208600000X Surgery (Licence: TX L7546) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-03-22 |