| NPI | 1588956635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036138899) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 36138899) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2025-09-02 |