| NPI | 1033745948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085007757) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-007757) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-03-23 |