| NPI | 1447546783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TX R7923) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125060444) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2023-05-18 |