| NPI | 1376562694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036-113954) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-113954) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 558-320) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: AL 37362) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-02-19 |