| NPI | 1447419320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2016012363) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2016012363) |
| 208600000X Surgery (Licence: IL 036146873) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2016012363) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036146873) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036146873) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2022-03-21 |