NPI | 1033312863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: VA 0101240898) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: VA 0101240898) |
208600000X Surgery (Licence: VA 0101240898) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2024-08-05 |