| NPI | 1659529196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036123232) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WI 63992-21) |
| 208600000X Surgery (Licence: IN 02004925A) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2025-05-12 |