| NPI | 1932722006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036174964) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125076122) |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2025-07-31 |