NPI | 1285600528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 36106073) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 36106073) |
2086S0127X Surgery, Trauma Surgery (Licence: IL 36106073) | |
Enumeration Date | 2006-02-27 |
Last Update Date | 2021-04-19 |