| NPI | 1992236111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 87566-020) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036168780) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2026-09-02 |