NPI | 1114163706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NY 267040) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY P68046) |
208600000X Surgery (Licence: NY 267040) | |
2086S0102X Surgery, Surgical Critical Care (Licence: NY 267040) | |
Enumeration Date | 2009-01-02 |
Last Update Date | 2023-11-27 |