| NPI | 1235652405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036169785) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 1235652405) |
| 208600000X Surgery (Licence: IL 036169785) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036169785) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2024-10-16 |