| NPI | 1093829830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VT 042.0014189) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-087054) |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036-087054) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-10-04 |