| NPI | 1124479167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036-156843) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036156843) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-10-20 |