| NPI | 1487632261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036153760) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A95115) |
| 2086S0127X Surgery Trauma Surgery (Licence: CA A95115) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2021-04-19 |