| NPI | 1124065594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CO DR.0043975) |
| Additional Taxonomies | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: CO DR.0043975) |
| 2086S0127X Surgery, Trauma Surgery (Licence: CO 43975) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0043975) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-09-05 |