NPI | 1033292974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101250069) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 248905) |
2086S0127X Surgery, Trauma Surgery (Licence: NY 248905) | |
2086S0102X Surgery, Surgical Critical Care (Licence: NY 248905) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2011-12-07 |