| NPI | 1437121548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 57340) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036123355) |
| 208600000X Surgery (Licence: NE 22958) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 57340) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-11-20 |