| NPI | 1063493039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX N8483) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD036265) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: DC MD036265) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: DC MD036265) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2013-11-11 |