| NPI | 1003014044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OK 35592) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R70161) |
| 208600000X Surgery (Licence: TX N9618) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX N9618) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX N9618) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-02-02 |