NPI | 1093897506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 47058) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 47058) |
2086S0127X Surgery, Trauma Surgery (Licence: AZ 47058) | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2022-08-08 |