| NPI | 1013991769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A68545) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA 00A685450) |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA A68545) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA 00A685450) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2019-10-04 |