| NPI | 1205085255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-116125) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-116125) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2021-04-27 |