| NPI | 1427316942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID M-14120) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.152323) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036.152323) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036.152323) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2021-01-11 |