| NPI | 1144451105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036-156996) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-156996) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-156996) | |
| 202D00000X Integrative Medicine (Licence: IL 036-156996) | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2026-05-29 |