| NPI | 1134369630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: IL 036135762) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: IL 036135762) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2022-05-27 |