| NPI | 1497763015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036139289) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 053004) |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036139289) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-02-03 |