| NPI | 1902063282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX T5200) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036143962) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2023-08-17 |