NPI | 1053382085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA G072181) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA G072181) |
2086S0127X Surgery, Trauma Surgery (Licence: CA G072181) | |
Enumeration Date | 2006-01-28 |
Last Update Date | 2020-10-06 |