NPI | 1043361470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA A94833) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A94833) |
2086S0127X Surgery, Trauma Surgery (Licence: CA A94833) | |
Enumeration Date | 2007-01-13 |
Last Update Date | 2008-07-02 |