| NPI | 1013028521 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: CA G48939)  | 
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA G48939)  | 
| 2086S0127X Surgery, Trauma Surgery (Licence: CA G48939)  | |
| 2086S0129X  (Licence: CA G48939)  | |
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2012-09-17 |