| NPI | 1427035534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036-089481) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36089481) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2008-06-13 |