NPI | 1629299599 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036130062) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036130062) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-06-18 |