| NPI | 1154397495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: IL 36096488) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: IL 36096488) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2011-06-24 |