| NPI | 1407926926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 36101854) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: IL 36101854) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2021-01-14 |