| 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 |