NPI | 1457383697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036064949) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036064949) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2007-07-08 |