| NPI | 1902283450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.151778) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: IL 036.151778) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2020-12-15 |