| NPI | 1538440573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036140312) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036140312) |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2025-01-13 |