| NPI | 1013311067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: IL 036165385) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0087342) |
| 2086S0102X Surgery Surgical Critical Care (Licence: MD D0087342) | |
| 2086S0127X Surgery Trauma Surgery (Licence: MD D0087342) | |
| 208600000X Surgery (Licence: CA A131063) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2023-11-22 |