NPI | 1700204583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036151291) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036151291) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2024-03-29 |