| NPI | 1053386623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: AL 19955) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 19955) |
| 2086S0102X Surgery Surgical Critical Care (Licence: AL 00019955) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: AL 19955) | |
| 2086S0127X Surgery Trauma Surgery (Licence: AL 00019955) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-09-22 |