NPI | 1073666301 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX R0310) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 060599) |
2086S0127X Surgery, Trauma Surgery (Licence: OR MD185663) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2024-05-15 |