| NPI | 1316175649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125056994) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 060701) |
| 208600000X Surgery (Licence: CA A141337) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA 003816) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA 060701) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2022-07-27 |