| NPI | 1073877908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: GA 78181) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 5516) |
| 208600000X Surgery (Licence: GA 78181) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: GA 78181) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-02-09 |