| NPI | 1295002285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID 4061377) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P5741) |
| 208600000X Surgery (Licence: TX P5741) | |
| 208600000X Surgery (Licence: IL 036137282) | |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2024-08-13 |