NPI | 1851421705 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036131427) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2008032789) |
208600000X Surgery (Licence: RI MD11328) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2024-04-04 |