| NPI | 1245402080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036143879) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2017012235) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2017012235) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2020-05-22 |