| NPI | 1073561635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD430446) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301104558) |
| 208600000X Surgery (Licence: PA MD430446) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 267232) | |
| 208600000X Surgery (Licence: NY 267232) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 267232) | |
| 208600000X Surgery (Licence: IL 036080081) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-04-26 |