NPI | 1982779765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 36068648) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 06068648) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2010-07-14 |