NPI | 1902880321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036153320) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301101784) |
208600000X Surgery (Licence: MA 224253) | |
2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301104784) | |
2086S0102X Surgery, Surgical Critical Care (Licence: MA 224253) | |
Enumeration Date | 2005-11-30 |
Last Update Date | 2020-10-08 |