| NPI | 1265579528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR49609) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036127950) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CO DR49609) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-11-30 |