NPI | 1427054592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036064323) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036064323) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2013-03-13 |