| NPI | 1740344241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036119396) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35083861) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036119396) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301088782) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-08-17 |