| NPI | 1023401460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036156980) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036156980) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2026-03-24 |