NPI | 1003045097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME152670) |
Additional Taxonomies | 208600000X Surgery (Licence: TN 52389) |
208600000X Surgery (Licence: IL 036-143764) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME152670) | |
2086S0127X Surgery, Trauma Surgery (Licence: IL 036-143764) | |
2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-143764) | |
2086S0102X Surgery, Surgical Critical Care (Licence: TN 52389) | |
2086S0127X Surgery, Trauma Surgery (Licence: GA 87843) | |
Enumeration Date | 2009-07-10 |
Last Update Date | 2024-11-19 |