| NPI | 1346243169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036048085) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: IL 036048085) |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036048085) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036048085) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-03-02 |