NPI | 1083670061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301050681) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35086755) |
2086S0102X Surgery, Surgical Critical Care (Licence: OH 35086755) | |
2086S0127X Surgery, Trauma Surgery (Licence: MI 4301050681) | |
2086S0127X Surgery, Trauma Surgery (Licence: OH 35086755) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2017-10-20 |