NPI | 1053653394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX S2774) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S2774) |
207P00000X Emergency Medicine (Licence: NY 278356) | |
Enumeration Date | 2013-03-25 |
Last Update Date | 2023-11-28 |