| NPI | 1932320819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036121834) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125-046054) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-12-07 |