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 | 2020-05-22 |