| NPI | 1700912409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036097129) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036097129) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-05-03 |