NPI | 1891195434 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036174294) |
Additional Taxonomies | 208600000X Surgery (Licence: SC 36702) |
Enumeration Date | 2014-09-02 |
Last Update Date | 2025-07-31 |