| NPI | 1578720629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 2086S0127X) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 72354) |
| 208600000X Surgery (Licence: IL 036171933) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: GA 72354) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036171933) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2024-11-14 |