| NPI | 1942216940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036109655) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01064106A) |
| 208600000X Surgery (Licence: CA A105092) | |
| 208600000X Surgery (Licence: IL 036109655) | |
| 208C00000X Colon & Rectal Surgery (Licence: IN 01064106A) | |
| 208C00000X Colon & Rectal Surgery (Licence: CA A105092) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-03-07 |