NPI | 1033501242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MI 5101027038) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 5101027038) |
2086S0102X Surgery, Surgical Critical Care (Licence: MI 5101027038) | |
Enumeration Date | 2015-02-25 |
Last Update Date | 2022-08-09 |