| NPI | 1033141965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: NE 31524) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036119616) |
| 208600000X Surgery (Licence: TX J5691) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-06-10 |