| NPI | 1457359259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036106817) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI 11574) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: RI 11574) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: RI 11574) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2021-05-04 |