| NPI | 1336155092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036073532) |
| Additional Taxonomies | 174400000X Specialist |
| 208600000X Surgery (Licence: IL 036073532) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-05-19 |