| NPI | 1891728887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036144511) |
| Additional Taxonomies | 208600000X Surgery (Licence: ID MC-2223) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MI EMC0002596) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-08-30 |