| NPI | 1932101722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0070039) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036095786) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2023-01-08 |