| NPI | 1467713248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036.149606) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036149606) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2025-02-24 |