| NPI | 1679604193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036100585) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036100585) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2026-06-30 |