| NPI | 1851591044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036141982) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301090493) |
| 208600000X Surgery (Licence: IL 036141982) | |
| 208600000X Surgery (Licence: MI 4301090493) | |
| 2086S0127X Surgery Trauma Surgery (Licence: IN 01072759A) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-02-28 |