| NPI | 1851528335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q9616) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036167719) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: SC 91104) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2025-00662) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: DC 210012623) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036167719) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA os016264) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2023015014) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036.167719) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036167719) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2025-04-29 |